Kim Jin-Ha, Moon Seong-Yong
Dental Clinic, The Third Logistic Support Command, Incheon, Korea.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea.
J Korean Assoc Oral Maxillofac Surg. 2013 Oct;39(5):251-3. doi: 10.5125/jkaoms.2013.39.5.251. Epub 2013 Oct 22.
Inferior alveolar nerve block obtained maximum anesthetic effect using a small dose of local anesthetic agent, which also has low a complication incidence. Complications of an inferior alveolar nerve block include direct nerve damage, bleeding, trismus, temporary facial nerve palsy, and etc. Among them, the major iatrogenic complication is dental needle fracture. A fragment that disappears into the soft tissue would be hard to remove, giving rise to a legal problem. A 31-year-old woman was referred for the removal of a broken needle, following an inferior alveolar nerve block. Management involved the removal of the needle under local anesthesia with pre- and peri-operative computed tomography scans.
下牙槽神经阻滞使用小剂量局部麻醉剂即可获得最大麻醉效果,且并发症发生率低。下牙槽神经阻滞的并发症包括直接神经损伤、出血、牙关紧闭、暂时性面神经麻痹等。其中,主要的医源性并发症是牙针折断。断针碎片若进入软组织则难以取出,会引发法律问题。一名31岁女性在接受下牙槽神经阻滞后因断针取出前来就诊。处理方法包括在局部麻醉下,术前行计算机断层扫描及术中扫描后取出断针。